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Most physicians are very familiar with the peer review process. But that process is often performed at the hospital, rather than the clinic level. In most states, clinics can establish a peer review process that enjoys the same protection as a hospital peer review committee. This session will discuss the basics of starting a peer review process and describe some of the benefits and potential problems of a peer review program. While there will be some information that will be helpful for hospitals and well-established peer review organizations, there will be considerable time spent on how clinics can use peer review as a tool to improve quality and manage risk.